Re: Keepsake 3D

From: DuBose, Terry (DuboseTerryJ@uams.edu)
Fri May 14 14:15:31 2004


Art, will an uneducated, unskilled, & unwashed person who doesn't have a clue as to the difference between a uterine synechia vs. an amniotic band, and won't care because it isn't a "medical" exam, be held to the same standard as a registered sonographer or MD? This, I fear is the fallacy in the legal solution to this problem.

Given enough time the "unwashed" will develop the psychomotor skills to acquire pretty pictures of faces, but won't have a clue about VSDs, etc. and won't care. In time the public will come to view these folks as the real face of sonography because that is the "fun" part; and the real sonographers will become the gnomes in the bowels of the hospital, giving out the bad news. We will be held to a higher standard because of our experience, while the uneducated will be able to throw up their hands and exclaim "gastroschisis, what is that? Who knew?"

Unless the FDA actually enforces their own regulations on non-medical uses, then the legal system will not treat all by the same standards. The FDA needs to either enforce their own regs or release us all to compete in the "free market", and then we can beat the unwashed at their own game. I include registered sonographers in this issue of the "free market".

"Just my opinion, I could be wrong."

Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM

Assistant Professor & Director Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 DuBoseTerryJ@UAMS.edu http://www.io.com/~dubose/ http://www.uams.edu/chrp/dms/default.asp http://www.obgyn.net/us/panel/panel.htm ---------------------------------------------------------------

--------------------------------------------------------------- -----Original Message----- --------------------------------------------------------------- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of art fougner, md Sent: Friday, May 14, 2004 11:04 AM To: Multiple recipients of list ULTRASOUND Subject: Re: Keepsake 3D

i'm equally sure that there are anomalies missed at non-3D sites as well. the glass house has many rooms. yogi had it right - "it ain't over til it's over."

however, the missed anomalies will come back to haunt the Keepsake Centers as it already has haunted us all - if you perform an ultrasound for whatever reason, my feeling is that you should and will be held to the published standards.

art

At Thu, 13 May 2004, David Nyberg wrote: >
>Larry
>
>I know of a case here in Phoenix where a reputable group missed a cleft
lip/palate that was then picked up by a commericial 3D site 2 weeks later. I know that's not what you're looking for, but it could work both ways. Of course a 3D site may be more likely to pick up facial abnormalities since that's where their focus is. I'm sure there are plenty of nonfacial abnormalities missed by 3D sites. >
>Dave
>
>On Thu, 13 May 2004 LDPLATT@aol.com wrote:
>
>> Does anyone have or kno a patientw of had a keepsake video done in
one of the >> "commercial"centers who subsequently had a major fetal abnormality
??? If >> so would they be willing to talk about the experience? Thanks
>>
>> Larry Platt ldplatt@aol.com
>>
>--
>David Nyberg, MD
>10401 E McDowell Mtn Ranch Rd
>#2-372
>Scottsdale, AZ 85255
>ph cell 480-797-0993
>fax 480-512-8737
>work 480-512-3850
>

--
art fougner, md
ich bin ein New Yorker



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